Tasks
1 Symptoms, syndromes. Determine the patient's emergency.
2 Make an emergency care algorithm.
Case 2.
A young man came with complaints of pain in the right half of the chest, sharply aggravated by movement, coughing, breathing. Moves slowly, holding a sore spot with his hand. An hour ago, slipped, fell, hit his chest on the edge of the sidewalk.
Objectively: the state of moderate severity, the affected half of the chest lags behind in breathing, shallow breathing, with a frequency of 22 per minute, pulse 80 beats per minute.
Palpation-sharp local pain and crepitus in the projection of the III and IV ribs along the posterior axillary line, swelling, bruising.
Tasks
1 Symptoms, syndromes. Determine the patient's emergency.
2 Make an emergency care algorithm.
Case 3.
As a result of a car accident, the girl was seriously injured. Complaints of pain in the right lower limb, sharply aggravated when trying to move. On examination, the condition is severe, the skin and visible mucous membranes are pale. Blood pressure 100/60 mm. rt. Art., pulse 100 beats per minute.
Tasks
1 Symptoms, syndromes. Determine the patient's emergency.
2 Make an emergency care algorithm.
Case 4.
In the lobby of a polyclinic, a 42-year-old patient suddenly developed an attack of shortness of breath.
The patient sits, leaning his hands on the edges of the chair, the chest is in a state of maximum inspiration, the face is cyanotic, expresses fear, the respiratory rate is 38 per minute. Shortness of breath of an expiratory nature, dry whistling rales are heard at a distance.
Tasks 1 Symptoms, syndromes. Determine the patient's emergency.
2 Make an emergency care algorithm.
Case 5
After passing the exam, the students rode standing in a crowded bus. Suddenly, one of them became ill. He turned pale and fell.
Objectively: consciousness is absent, the skin is pale, the extremities are cold, the pupils are narrow, they do not react to light, the pulse is thready.
Tasks 1 Symptoms, syndromes. Determine the patient's emergency.
2 Make an emergency care algorithm.
Case 6
At a therapeutic appointment, the patient stood up abruptly, felt weakness, dizziness, darkening of the eyes.
Anamnesis: 25 days ago, he was operated on for gastric ulcer complicated by bleeding.
Objectively: consciousness is preserved, the skin is pale, cold sweat. Pulse 96 beats / min, weak filling, blood pressure 80/49 mm Hg. Art., breathing is not difficult, respiratory rate = 24 per minute.
1 Symptoms, syndromes.2. Diagnosis. 3. Treatment
Case 7.
An unconscious man, with convulsive twitches of the body, lies on a broken electric wire. Breathing is weak, rare, the pulse is not palpable. Arterial pressure is not determined. There is a reddish swelling on the left hand.
1 Symptoms, syndromes.2. Diagnosis. 3. Treatment